NPI 1023230174

Tioga County Dept of Human Services

Organisation Case Management Agency Mansfield, PA

Practice location

Address: St James & Third Street St James Complex Suite 103a, Mansfield, PA 16933
Phone: (570) 662-7600
Fax: (570) 662-7726
Mailing address: 1873 Shumway Hill Rd, Wellsboro, PA 16901-6840

Authorised official

Name: Samuel a Greene
Title: Administrator
Phone: (570) 724-5766

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X Licence 597022 (PA)

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Registry record

NPI: 1023230174
Entity type: Organization
NPI issued: 2 May 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.